FORM 1023-EZ for WHITE-PETTERUTI FAMILY FOUNDATION

Field Data
EIN 83-3647984
Case Number EO-2019074-000779
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WHITE-PETTERUTI FAMILY FOUNDATION
Organization’s Mailing Address PO BOX 3366
City BRECKENRIDGE
State CO
ZIP 80424-3366
Accounting period End 12
Primary contact name VINCE WHITE-PETTERUTI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VINCE WHITE-PETTERUTI
GRANTOR &TRUSTEE
PO BOX 3366
BRECKENRIDGE CO 80424-3366

Officer/Director/Trustee Two

MARYLOUISE WHITE-PETTERUTI
GRANTOR & TRUSTEE
PO BOX 3366
BRECKENRIDGE CO 80424-3366

Officer/Director/Trustee Three

NIC WHITE-PETTERUTI
TRUSTEE
2248 N FREEMONT 3S
CHICAGO IL 60614

Officer/Director/Trustee Four

SARAH MCNAMEE
TRUSTEE
2215 S ESTES STREET
LAKEWOOD CO 80227

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name VINCE WHITE-PETTERUTI
Signature Title GRANTOR &TRUSTEE
Signature Date 3/13/19

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